Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Forsyth Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN LANGFORD (SVP & COO NOVANT MEDICAL GROUP)
(704) 384-9144
Entity
Organization
Contact information
Practice address
2025 FRONTIS PLAZA BLVD, STE 120, WINSTON-SALEM, NC 27103-5663
(336) 277-2200
(336) 277-2210
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-9144
(704) 417-1043
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015FP
—
NC
01
—
CA1315
RAILROAD MEDICARE
NC
Enumeration date
05/02/2006
Last updated
11/29/2013
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